Ridgewood Dental Group

NPI #1164601266 in Ridgewood, New York

Provider Information

NPI Number: 1164601266
Entity Type: Organization
Organization Name: Ridgewood Dental Group
Primary Specialty: Dentist
Enumeration Date: Oct 25, 2007
Last Updated: Oct 25, 2007

Practice Location

Address: 5431 MYRTLE AVE
City: Ridgewood
State: New York
ZIP Code: 11385-3403
Phone: (715) 456-7600

Authorized Official

Name: DR. MARIETTA CUIFFO-MORADI, DDS
Title: PRES.
Phone: (717) 456-7600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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